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Developing a core outcome set for interventions to improve discharge from mental health inpatient services: a survey, Delphi and consensus meeting with key stakeholder groups.


ABSTRACT: OBJECTIVE:To develop a core set of outcomes to be used in all future studies into discharge from acute mental health services to increase homogeneity of outcome reporting. DESIGN:We used a cross-sectional online survey with qualitative responses to derive a comprehensive list of outcomes, followed by two online Delphi rounds and a face-to-face consensus meeting. SETTING:The setting the core outcome set applies to is acute adult mental health. PARTICIPANTS:Participants were recruited from five stakeholder groups: service users, families and carers, researchers, healthcare professionals and policymakers. INTERVENTIONS:The core outcome set is intended for all interventions that aim to improve discharge from acute mental health services to the community. RESULTS:Ninety-three participants in total completed the questionnaire, 69 in Delphi round 1 and 68 in round 2, with relatively even representation of groups. Eleven participants attended the consensus meeting. Service users, healthcare professionals, researchers, carers/families and end-users of research agreed on a four-item core outcome set: readmission, suicide completed, service user-reported psychological distress and quality of life. CONCLUSION:Implementation of the core outcome set in future trials research will provide a framework to achieve standardisation, facilitate selection of outcome measures, allow between-study comparisons and ultimately enhance the relevance of trial or research findings to healthcare professionals, researchers, policymakers and service users.

SUBMITTER: Tyler N 

PROVIDER: S-EPMC7228512 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Developing a core outcome set for interventions to improve discharge from mental health inpatient services: a survey, Delphi and consensus meeting with key stakeholder groups.

Tyler Natasha N   Wright Nicola N   Grundy Andrew A   Waring Justin J  

BMJ open 20200512 5


<h4>Objective</h4>To develop a core set of outcomes to be used in all future studies into discharge from acute mental health services to increase homogeneity of outcome reporting.<h4>Design</h4>We used a cross-sectional online survey with qualitative responses to derive a comprehensive list of outcomes, followed by two online Delphi rounds and a face-to-face consensus meeting.<h4>Setting</h4>The setting the core outcome set applies to is acute adult mental health.<h4>Participants</h4>Participant  ...[more]

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